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General NPI Number Information
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NPI Number | 1245996081
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Entity Type | Individual
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Provider Name | LAUREN BENNETT PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 4600 E 9TH AVE STE 300
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City | DENVER
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State | CO
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Zip | 80220-4067
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Country | US
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Telephone | 303-329-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 S GILBERT ST UNIT B
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2362
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Country | US
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Telephone | 303-396-7154
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0006951
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License Number State | CO
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